Jingsong Wang, Shenglong Luo, Yixin Li, Shenao Yi, Ning Xu, Tong Wang, Yang Gao, Ruyu Yan, Fan Lu, Junjie Wang, Yilei Shao
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引用次数: 0
Abstract
Background: This study aimed to develop and validate a digital image correlation (DIC) methodology based on swept-source optical coherence tomography (SS-OCT) for quantifying in vivo ciliary muscle (CM) deformation and strain during accommodation.
Methods: This study was comprised of three phases. First, the measurement performance was examined across two SS-OCT systems (CASIA2 and VG200D) and four scanning modes (R1, R8, R16, and R64) by comparing the DIC-derived displacements with the simulated ground-truth fields. Second, reliability was validated using a "cross-image" strategy, in which artificial deformations were applied to biological images to assess tracking accuracy under realistic speckle noise. Third, 23 subjects were recruited and divided into three groups: control group (CN, n = 7), high myopia group (HM, n = 7), and elderly group (n = 9). Macroscopic morphological parameters (anterior CM length change and maximum CM thickness change) and biomechanical parameters (e.g., equivalent strain) were extracted synchronously.
Results: The R8 scanning mode in the CASIA2 device exhibited the most stable acquisition configuration. The robustness of the ncorr‑DIC algorithm was verified through the second-step experiment. Under the accommodative stimulus of - 5.0 D, the effective strain exhibited a highly significant graded attenuation among groups: CN (0.28 ± 0.06) > HM (0.20 ± 0.03) > Elderly (0.16 ± 0.05) (P = 0.002). Morphological changes were consistent with this finding, and CM thickening was significantly greater in the CN group than in the other two groups (P = 0.003). Combined analysis revealed that the mean effective strain was not only significantly positively correlated with macroscopic muscle thickening (r = 0.70, P < 0.001) but was also highly correlated with accommodation amplitude (r = 0.69, P < 0.001).
Conclusion: DIC-based OCT analysis is feasible for assessing the biomechanical response of CM. By quantifying mechanical attenuation associated with HM and age-related decline, this method provides a new functional biomarker for investigating the mechanisms of accommodation dysfunction and guiding clinical interventions.
期刊介绍:
Eye and Vision is an open access, peer-reviewed journal for ophthalmologists and visual science specialists. It welcomes research articles, reviews, methodologies, commentaries, case reports, perspectives and short reports encompassing all aspects of eye and vision. Topics of interest include but are not limited to: current developments of theoretical, experimental and clinical investigations in ophthalmology, optometry and vision science which focus on novel and high-impact findings on central issues pertaining to biology, pathophysiology and etiology of eye diseases as well as advances in diagnostic techniques, surgical treatment, instrument updates, the latest drug findings, results of clinical trials and research findings. It aims to provide ophthalmologists and visual science specialists with the latest developments in theoretical, experimental and clinical investigations in eye and vision.